Category: Limb Restoration Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective : To outline the rehabilitation spectrum of a quadruple limb loss patient with bilateral transfemoral/transhumeral loss from acute management through prosthetic training.
Design : To study the process of staged admissions within the "golden window" of treatment for maximal iimprovement. This is a case study of therapy tools and time frames to be used for bilateral transfemoral/transhumeral limb loss for maximal functional recovery. This study focuses on the continuum from complete dependence to functional independence using both upper and lower prostheses.
Setting : acute,inpt and outpt rehab hospital; utilizing physical, occupational therapy, with personal training and aquatic therapy as adjunct interventions.
Participants (or Animals, Specimens, Cadavers) :
One male participant for a case study
Interventions : wound care, range of motion, ADL, strength, transfers, family training, range of motion, desensitization, scar and fluid mgmt, core, glut, cardio,
early weight bearing with use of PPAM, assistive devices, lite gait,standing balance, aquatic therapy
Main Outcome Measure(s) : FIM, OPUS, MMT, AROM, sitting balance, forward reach, AMPnoPro, box/blocks, standing balance, circumference measurements, AMPPro
Results : return to prior level of function using: PPAM, total gym, driving, prostheses, xfers, ADLs, IADLs, gait
Conclusions : This case study demonstrates the importance of early weight bearing, maintaining range of motion and promoting endurance and strength to maximize long term independence and success with use of bilateral lower and upper extremity prostheses.